Abstract:
The United Nations and WHO have summoned
governments from low-income and middle- income
countries to institute universal health coverage and
thereby improve their population’s healthcare access and
outcomes. Until now, few countries responded favourably
to this international plea. The HIV/AIDS epidemic, a
major global public health challenge, resulted in over
11 million orphans in sub- Saharan Africa. Extended
families have taken responsibility for more than 90%
of these children. HIV orphans are likely to be poorer
and less healthy. Burkitt lymphoma is the most common
childhood cancer in sub- Saharan Africa. If orphans need
lifesaving chemotherapy, appointing legal guardians
becomes necessary to access health insurance. However,
rules and regulations involved may be unclear and costly.
This hinders its access for poor families who need it
most. Uninsured children risk hospital detention over
unpaid medical bills and have lower survival. Our case
report depicts the quest for health insurance coverage of
two HIV orphans with Burkitt lymphoma in Kenya
